Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,327.58 / $2,327.58 / $2,961.89	Professional		$2,327.58	$2,327.58	$2,961.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,624.84 / $1,624.84 / $1,624.84	Professional		$1,624.84	$1,624.84	$1,624.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $610.29 / $2,327.58 / $3,328.44	Facility		$610.29	$2,327.58	$3,328.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,204.90 / $3,129.00 / $4,007.97	Professional		$1,204.90	$3,129.00	$4,007.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.50 / $2,160.50 / $2,939.20	Professional		$1,862.50	$2,160.50	$2,939.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $610.29 / $2,327.58 / $3,328.44	Facility		$610.29	$2,327.58	$3,328.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $644.58 / $2,077.50 / $3,026.11	Professional		$644.58	$2,077.50	$3,026.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.38 / $1,949.82 / $2,898.87	Professional		$1,260.38	$1,949.82	$2,898.87